Question 1

The nurse is preparing to discuss the male reproductive system with a group of adolescent school students. Which of the following would the nurse not include as a primary function of the male reproductive system?

Accepted Answer

While Frequent erectile functioning and increased libido may be associated with the male reproductive system, they are not a primary function. The primary functions include the production of sperm, secretion of testosterone, and transportation and depositing of sperm.

Question 2

A male client is diagnosed as being infertile. The nurse realizes which of the following structures of the client's reproductive system is affected?

Accepted Answer

Seminiferous tubules are responsible for the production of sperm, and if they are affected, it can result in male infertility. The epididymis stores and transports sperm, the rete testes is a network of tubules that connects the seminiferous tubules to the epididymis, and the seminal vesicles produce and secrete fluid that makes up a part of semen, but none of these structures play a direct role in sperm production, making them an unlikely cause of male infertility.

Question 3

During the examination of the male testes, the nurse should instruct the client on:

Accepted Answer

The nurse should instruct the client on monthly testicular self-examinations as this is an important way to detect testicular cancer early. Option A is not related to the examination of the testes. Option C is related to the colon and is not relevant to the testes examination. Option D is related to preventing the spread of sexually transmitted infections which is important but is not relevant to the examination of the testes.

Question 4

A 50-year-old male client has had a prostate-specific antigen test. The nurse realizes that the normal range for this test would be:

Accepted Answer

The normal range for prostate-specific antigen (PSA) test is 0 to 4 ng/mL. A level above 4 ng/mL may indicate prostate cancer or other prostate disorders and requires further evaluation.

Question 5

A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that:

Accepted Answer

The prostate gland secretes a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina, which helps to protect the sperm on their journey to fertilize an egg.

Question 6

The nurse is instructing a postmenopausal client in the importance of having serum lipid levels analyzed because after menopause, which of the following changes can occur? (Select all that apply.)

Accepted Answer

After menopause, total cholesterol, low-density lipoprotein, triglycerides, and high-density lipoprotein levels can all be affected. Therefore, it is important to have serum lipid levels analyzed to monitor and manage any changes that may occur. There is no evidence to suggest that low-density lipoprotein decreases or that high-density lipoprotein increases after menopause.

Question 7

The nurse, preparing to discuss the female reproductive system with a group of adolescent females, would include that which of the following is not a primary function of the female reproductive system?

Accepted Answer

The primary functions of the female reproductive system include hormone secretion, which regulates reproductive processes; pregnancy, the ability to conceive and carry a fetus to term; and breastfeeding, which provides nutrition to the infant. Sensory innervation, while important for the function of the reproductive organs and sexual pleasure, is not considered a primary function of the female reproductive system.

Question 8

A female client is concerned that she has not had sexual intercourse with her husband for over 2 months. Which of the following can the nurse respond as causes for an alteration in sexual functioning? (Select all that apply.)

Accepted Answer

Chronic illnesses, physical disabilities, negative body image, medications and surgical procedures can all impact sexual functioning. Employment status does not typically impact sexual functioning.

Question 9

The nurse, reviewing the reproductive hormones needed to produce sperm and ova, realizes that which of the following hormones is not involved in the formation of sperm and ova?

Accepted Answer

Prolactin is not involved in the formation of sperm and ova. It is responsible for stimulating milk production in the mammary glands after childbirth. Follicle-stimulating hormone, gonadotropin-releasing hormone, and luteinizing hormone all play important roles in the development and release of sperm and ova.

Question 10

A female client's Pap test revealed atypical results. The nurse realizes that this client will most likely be scheduled for a(n):

Accepted Answer

Atypical Pap test results typically lead to a referral for colposcopy, which allows for further examination of the cervix for abnormal cells or lesions.

Question 11

A male client, having difficulty voiding, tells the nurse that he thinks something is wrong with his penis. The nurse reviews the structures of the penis with the client and explains that the structure that surrounds the urethra is the:

Accepted Answer

The structure that surrounds the urethra and helps keep it open during erection is the corpus spongiosum. The corpus cavernosa is another erectile structure in the penis, but it does not surround the urethra. The glans penis is the rounded tip of the penis, and the prepuce is the skin that covers and protects the glans (also known as the foreskin).

Question 12

The nurse is reviewing the physiological sexual response pattern within males and females and realizes that which of the following occur in both genders? (Select all that apply.)

Accepted Answer

Resolution, orgasm, plateau, and excitement are physiological sexual response patterns that occur in both males and females.

Question 13

A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes that this client will most likely be scheduled for a(n):

Accepted Answer

A prostate specific antigen level of 22 nanograms is considered elevated and could indicate the presence of prostate cancer. A bone scan would be ordered to check for possible metastasis of the cancer.

Question 14

A female client has an infection of the paraurethral glands. When asked by the client what these glands do, the nurse should respond: (Select all that apply.)

Accepted Answer

The answer of A female client has an infection of...

Question 15

The nurse is concerned that a female client might be experiencing intimate partner violence. Which of the following assessment questions can be used to gain more information from the client? (Select all that apply.)

Accepted Answer

Questions A, C, and E are all directly related to potential intimate partner violence, and can provide valuable information about the client's safety and well-being. Questions B, D, and F are not specifically related to the issue of intimate partner violence, and may not provide relevant information in this context.

Question 16

During a gynecological exam, it is noted that a client's os is in the shape of a slit. The nurse realizes that this shape means that the client has:

Accepted Answer

A slit-shaped cervical os typically indicates that the client has given birth vaginally, as childbirth can change the shape of the cervical os from round to slit-like.

Quiz 61: Assessment of Reproductive Function